title: Three pledget technique for closure of muscular ventricular septal defects.
abstract: We propose a modification of the simple, horizontal mattress, pledgetted suture technique for closing the small muscular ventricular septal defect (VSD) by interposing an oversized third pledget on the left ventricular (LV) aspect of the defect.
authors.affiliation: Pediatric Cardiac Surgery, Fortis-Escorts Heart Institute, New Delhi, India.
authors.forename: Rajesh
authors.initials: R
authors.lastname: Sharma
authors.forename: Ashish
authors.initials: A
authors.lastname: Katewa
keywords: left ventricle; pericardium; ventricular septal defect; ventricular septum